黄斑部脉络膜大血管致视物变形1例  

Metamorphopsia caused by macular choroidal macrovessel: a case report

作　　者：骆挺 杨娅丽 杨俊峰[1] Luo Ting;Yang Yali;Yang Junfeng(Department of Ophthalmology,the Third People′s Hospital of Chengdu,Ophthalmic Medical Quality Control Center of Chengdu,Chengdu 610000,China)

机构地区：[1]成都市第三人民医院眼科、成都市眼科医疗质量控制中心,成都610000

出　　处：《中华眼科杂志》2023年第5期411-413,共3页Chinese Journal of Ophthalmology

摘　　要：患者男性,75岁,因自觉左眼视物变形1个月就诊。左眼矫正视力0.5,眼底检查可见豹纹状眼底,黄斑区小片色素沉着,周围脱色素,从黄斑区发出径向向颞侧蛇形走行的粗大脉络膜血管,相干光层析成像术检查显示黄斑中心凹下以及黄斑颞侧脉络膜可见异常扩大的低反射空腔,占据脉络膜全层,早期眼底吲哚青绿血管造影术可见黄斑区以及向颞侧分布的快速充盈荧光轨迹。结合病史、眼部多模式检查及全身检查情况,诊断为黄斑部脉络膜大血管。患者未给予特殊治疗,嘱患者内科控制血压,定期眼底病门诊随访。A 75-year-old male patient presented to the hospital with metamorphopsia of the left eye for 1 month.The corrected visual acuity of left eye was 0.5.Fundus examination showed leopard fundus,small patches of pigmentation were present in the macular area,depigmentation around the macula,choroidal macrovessel emerged from the macular area in a horizontal,temporal,serpentine pattern,optical coherence tomography showed an abnormally enlarged hypo-reflective cavity occupying the full thickness of the choroid in the subfovea as well as in the temporal side of the macula.Early fundus indocyanine green angiography showed rapid filling fluorescence tracks distributed from macula to the temporal side.The patient was diagnosed with macular choroidal macrovessel based on medical history,ocular multimodal examination and general examination.The patient was not given special treatment,and was instructed to control blood pressure in the department of internal medicine and to follow up regularly in the outpatient clinic of fundus disease.

关 键 词：黄斑 脉络膜 血管疾病 多模态成像 体层摄影术 光学相干 血管造影术 吲哚花青绿 

分 类 号：R774.5[医药卫生—眼科]